1976, 07-01 Permit App: L4600 AdditionPROVED As hVOTly
AP ,
Spokane Coun c®d of Spokane, Washington
RTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
IN FOR LAND USE OR STRUCTURE PERMIT , Y a
GENERAL REQUIREMENTS PERMIT FE __ ..____._
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building o tr cture of any
kind or alter any building or structure already erected, or to change a land use. Construction must conform with the
Spokane County Building Code and Zoning Ordinance. Construction is subject to inspection.
WATER. Water supply must be approved by the County and State Health Departments. Where work on water connections disturbs
the surface, shoulders or ditches of County Roads, permission must be obtained from the County Engineer's Office.
SEWAGE SYSTEM. Permits are required in all cases by County Resolutions Nos. 45-133 and 47.235.
SET -BACK FROM PROPERTY LINES. In most zones and under most circumstances, a set -back from the front property line, of at
least 25' is required, a 5' side yard, 15' side yard from a flanking street, and a 25' rear yard are required.
STATE HIGHWAYS. Where the structure abuts a State Highway, clearance must be obtained pertaining to set -back and ingress
and egress.
COUNTY ROADS. Work on street right-of-way may not be performed until staked by County Road Department and work must be
performed in accordance with stakes. Points of ingress and egress must be approved by the County Engineer.
MOVING OF BUILDINGS. A permit is required to move an existing building. When a building is moved on a County or State
Highway, clearance must be obtained from the County Engineer and/or State Highway Department.
ACCESSORY BUILDINGS. Accessory buildings (garages, sheds, etc.) require a separate permit.
RESTRICTIVE COVENANTS. Builders should check provisions of covenants or dedications and easements running with the land
which are enforceable through civil action. County Officials can not bring action to enforce covenants or dedications.
APPLICANT FILL IN BELOW THIS LINE
Name of Owner "" � Address F -Z
;����—��/�//t' Phone ItZA-1
Architect -%Q Py Address Phone
Engineer Address Phone
Contractor ����/%��� Address.7 Phone _
Legal Description of Property (Give complete description from
! /deed, tax receipt, etc.) J�CgL
fJ
DESCRIPTION OF WORK: New Addition P-"- Remodel Moving Bldg. Zone Fire Zone
I/l� /
Size of Lot _, x A -4 0 Sewage System onst., ' ,�4�c'
(Fr., Conc., Br., etc.)
Stories Dimensio n s 2.2 -� Total Sq. Ft, Z f_? Valuation
Rooms _/__ Baths Basement /�4 Foundation Const.,��✓may Chimney ✓�/¢ Fireplace
Vupart, none) (Kind) (Number
Heat. System Ty a of Roofing Ext. Finish Int. Wall Finish
Use of Bldg. No. of Units _ Bedrooms
PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2) street or road locations; (3) location of existing and
proposed buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
tem and water suDDly lines.
NORTH RESIDENTIAL - COMMERCIAL
v
f�Q�IG
if,p0/T/DAY � Tan N
SOUTH
I hereby certify
as shown.
M
a
N
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
correct and there are no other structures locgted on this property except
�/ Owner or Agent Date
A L USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
Your street address will be
Sewage Permit Number 1
Remarks
DO NOT WRITE BELOW THIS LINE
The zone is
(-Building Permit Receipt )YO�_/Issued